An ectopic pregnancy developing in a previous caesarian section scar

Godin, Pierre Arnaud;Bassil, Salim;Donnez, Jacques
(1997) Fertility and Sterility — Vol. 67, n° 2, p. 398-400 (1997)

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Authors
  • Godin, Pierre Arnaud
    Author
  • Bassil, Salim
    Author
  • Donnez, JacquesUCLouvain
    Author
Abstract
OBJECTIVE: To report the diagnosis and management of an ectopic pregnancy (EP) developing in a caesarean section scar. DESIGN: Case report. SETTING: University medical school. PATIENT(S): A patient with a previous history of two caesarean sections developing an EP. INTERVENTION(S): Methotrexate (MTX) was administered locally under ultrasonographic guidance. MAIN OUTCOME MEASURE(S): Weekly screening of blood hCG levels and yolk sac resorption by endovaginal sonography. RESULT(S): The diagnosis was suspected by vaginal echography and confirmed by magnetic resonance imaging. Local injection of KCl and MTX provoked a progressive resorption of the pregnancy. Human chorionic gonadotropin was undetectable on day 82. CONCLUSION(S): To prevent uterine rupture in cases of an EP developing in a caesarean section scar, a medical approach can be proposed.
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Godin, P. A., Bassil, S., & Donnez, J. (1997). An ectopic pregnancy developing in a previous caesarian section scar. Fertility and Sterility, 67(2), 398-400. https://doi.org/10.1016/S0015-0282(97)81930-9 (Original work published 1997)